MEDICARE: HECHT EYE INSTITUTE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	A064034	CA

General Provider Information

NPI Number	:	1205132370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HECHT EYE INSTITUTE INC

Provider Business Mailing Address
First Line	:	4161 REDONDO BEACH BLVD FL 3
Second Line	:
City	:	LAWNDALE
State	:	CA
Zip	:	90260-3306
Country	:	US
Telephone Number	:	310-370-5648
Fax Number	:	310-370-0449

Provider Business Practice Location Address
First Line	:	4161 REDONDO BEACH BLVD FL 3
Second Line	:
City	:	LAWNDALE
State	:	CA
Zip	:	90260-3306
Country	:	US
Telephone Number	:	310-370-5648
Fax Number	:	310-370-0449

Authorized Official
Title or Position	:	MD
Name	:	MATTHEW L HECHT
Credential	:
Telephone Number	:	310-370-5648

Provider Enumeration Date	:	02/07/2011
Last Update Date	:	08/01/2016

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